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RecruitingNCT07606625Updated May 27, 2026

Ocular Surface Health and Tear Film Stability With a Nasal Spray Dry Eye Treatment

A Phase 4 interventional study of Varenicline 0.03Mg/Spray Nasal Soln in Dry Eye and Meibomian Gland Dysfunction, sponsored by University of California, Berkeley. Recruiting at 1 site in United States. Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-05-27.

Sponsored by University of California, Berkeley · Phase 4, Interventional, and Treatment

From the registry’s dates

  • Started Mar 2026; still recruiting 8 months later.
Phase
Phase 4
Study type
Interventional
Enrollment
65
Allocation
Not applicable
Ages
18 Years and older
Sex
All
01

Study summary

The purpose of this study is to examine the impact of nasal spray treatment on Meibomian gland function and ocular surface health in symptomatic dry eye patients with mild to moderate Meibomian gland dysfunction (MGD).

Read the detailed description

Dry eye disease is a common condition that occurs when eyes do not produce enough tears or when the quality of the tears is poor causing tears to evaporate quickly off the eye. This can lead to symptoms such as dryness, burning, irritation, and/or blurred vision. Meibomian gland dysfunction is the most common cause of evaporative dry eye disease. The purpose of this study is to examine the impact of nasal spray treatment on Meibomian gland function and ocular surface health in symptomatic dry eye patients with mild to moderate Meibomian gland dysfunction (MGD). The nasal spray is FDA approved for the treatment of signs and symptoms of dry eye disease.

02

Conditions studied

  • Dry Eye
  • Meibomian Gland Dysfunction

Keywords

  • Dry eye disease
  • Meibomian gland dysfunction
  • Varenicline
  • Nasal spray dry eye treatment
  • Tear lipid layer
  • Tear thinning
  • Tear production
  • Tear film stability
  • Ocular discomfort
03

In context

Dry Eye Syndromes

1,366 studies on the registry are indexed under Dry Eye Syndromes; 207 are open to participants now.

This study's planned enrollment of 65 is close to the median of 60 across 1,129 interventional studies indexed under Dry Eye Syndromes.

Browse Dry Eye Syndromes studies →

Lead sponsor

University of California, Berkeley is the lead sponsor of 111 studies on the registry; 20 are open to participants now.

Of its 6 completed or terminated interventional studies of FDA-regulated products, 1 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Is 18 years of age and has full legal capacity to volunteer (no max age requirement)
  • Baseline Ocular Surface Disease Index (OSDI) >13
  • Has mild to moderate MGD
  • Has best corrected visual acuity of 20/40 or better
  • Has had an oculo-visual examination in the last two years
  • Is willing to continue other daily dry eye management regimen (e.g., warm compresses, and/or eyelid margin cleaning)
  • Is willing to discontinue other prescription medications for dry eye disease (DED) management
  • Is willing to stop any topical eye drops before all planned visits
  • Has read, understood, and completed the letter

Exclusion criteria

Exclusion Criteria:

  • Is participating in any other type of clinical or research study
  • Is currently pregnant, nursing, lactating, or planning a pregnancy
  • Is currently having >50% blockage of Meibomian glands in more than two eyelids or significant atrophy (i.e., severe MGD)
  • Is currently using any topical ocular medications
  • Has chronic or currently active sinus related problems
  • Has blepharitis > grade 1
  • Has active ocular infections
  • Has a condition or in a situation which, in the examiner's opinion, may put the subject at significant risk, may confound the study results, or may significantly interfere with their participation in the study
  • Has received Rx DED treatment within one week of enrollment
  • Has received any thermal or light-based DED treatment within 30 days of enrollment
  • Has significant corneal epithelial defects
  • Has abnormal eyelid anatomy
  • Has corneal neuropathic pain
  • Has chronic or recurrent epistaxis (nosebleeds), coagulation disorders, or other conditions that may have led to a increased risk of bleeding
  • Has any intraocular surgery including trabeculectomy (MIGS, laser, or small incision glaucoma surgery allowed), extraocular surgery in either eye within 3 months, or refractive surgery within 12 months of enrollment
  • Has a known allergy to a product used in this study
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

Clinically significant

Judged by the study doctor to matter for your health or for the study. It is a doctor’s decision, so ask the study team if you are unsure whether something counts.

05

Study design

Phase
Phase 4
Primary purpose
Treatment
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
65 participants (estimated)

Study arms

  • Experimental
    Nasal Spray Treatment Group

    Participants to be dispensed varenicline nasal spray 0.03mg solution and self-administer one spray in each nostril twice daily, approximately 12 hours apart, for 3 months.

    Drug: Varenicline 0.03Mg/Spray Nasal Soln

Interventions

  • DrugVarenicline 0.03Mg/Spray Nasal Soln

    Drug page: Varenicline

    After meeting eligibility criteria and signing informed consent, participants will be dispensed a 3-month supply of varenicline 0.03mg/spray nasal solution. Participants will take the nasal spray home and spray once in each nostril twice daily for 3 months

06

What researchers measure

Primary outcomes

  1. Change in tear lipid layer thickness

    Change from baseline in the thickness of the tear lipid layer in microns measured using the EASYTEARView+ Dacryscope. An increase in tear lipid layer thickness is considered a positive treatment effect

    Time frame: Measured at baseline, 1-month, and 3 months

  2. Change in tear thinning rate

    Change from baseline in the rate of tear thinning in %/sec measured using the EASYTEARView+ Dacryscope. A decrease in the rate of tear thinning is considered a positive treatment effect

    Time frame: Measured at baseline, 1-month, and 3 months

Secondary outcomes

  1. Change in Meibomian gland function

    Change from baseline in the clinical grade of meibum expressed from the Meibomian glands using the Korb Meibomian Gland Evaluator. Clinical grades assigned based on a 0-30 point scale, with 30 indicating copious, clear meibum and 0 indicating no meibum expressed (blocked orifices). An increase in score indicates improved gland function.

    Time frame: Measured at baseline, 1-month, and 3 months

  2. Change in tear production rate

    Change from baseline in the rate of tear production in µL/min, measured using the Schirmer Tear Test. An increase in tear production is considered a positive treatment effect.

    Time frame: Measured at baseline, 1-month, and 3 months

  3. Change in tear breakup time

    Change from baseline in non-invasive tear breakup time in seconds, measured using the Oculus Keratograph 5M. An increase in tear breakup time is considered a positive treatment effect.

    Time frame: Measured at baseline, 1-month, and 3 months

  4. Change in Ocular Comfort

    Change from baseline in ocular discomfort, measured using the Ocular Surface Disease Index (OSDI) on a 0-100 scale. A decrease in OSDI score is considered a positive treatment effect.

    Time frame: Measured at baseline, 1-month, and 3 months

07

Study locations

1 of 1 sites recruiting
  • U.C. Berkeley Clinical Research Center
    Berkeley, California 94720, United States
    Recruiting
08

References and documents

Individual participant data

Plan to share: No — Data are considered proprietary intellectual property of Viatris, Inc.

No publications or documents are linked to this record.

09

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for Dec 2026, 9 months after the start.

Of 84 non-industry phase 4 interventional studies under Dry Eye Syndromes, half reached primary completion within 13 months of starting (the median), counting those still running; a quarter within 7 and three quarters within 28. This study's planned 9 months is below that.

Counting every sponsor, half of 112 studies reached it within 12 months; a quarter within 5 and three quarters within 23.

How these figures are worked out, and which studies are left out of them.

Registered
May 19, 2026
First posted
May 26, 2026
StartActual
Mar 6, 2026
Primary completionEst.
Dec 31, 2026
CompletionEst.
Dec 31, 2026
Last update
May 27, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on May 27, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT07606625
Collaborators
Viatris Inc.
Responsible party
Sponsor
First posted
May 26, 2026
Start date
Mar 6, 2026
Primary completion
Dec 31, 2026 (estimated)
Completion
Dec 31, 2026 (estimated)
Last update
May 27, 2026

Study contacts

Meng C. Lin, OD, PhD
Contact
mlin@berkeley.edu
510-643-9252
Laimeng Lee, OD, MS
Contact
laimenglee@berkeley.edu
510-643-9252

Oversight

Data monitoring committee
No
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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Studies of the drug tested here: Varenicline

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